This study aims to understand the current situation of the application of the third party evaluation for social welfare service in the special nursing homes in Japan, to analyze the problems of the third party evaluation on the part of the special nursing homes, which were the subjects of this research and then to suggest how the third party evaluation should be efficiently applied. Moreover, it discussed the problems that can be caused by the application of the evaluation system of welfare service by analyzing the precedent studies in relation of the evaluation and quality of service. We are sure that the results of this study would give considerable implications to South Korea, where the serious discussions about the management of the evaluation and quality of the service have just begun after the enforcement of Long-term Care Insurance System in 2008. For this study, the survey was conducted for the 120 employees in four(4) special nursing homes situated in Iwate Prefecture, Japan and analyzed based on reliability, frequency, standard deviation of mean and regression. The results of this study are as follows: First, the average of satisfaction of employees for the third party evaluation was 3.45, which can be considered as relatively low. Comparing administrators who understood well and highly participated in the third party evaluation, care workers who could relative-lowly participate in the evaluation showed the low degree of satisfaction for the understanding of third party evaluation and the processor self-evaluation; Second, it was found that the degree of understanding the third party evaluation showed 22% of explanatory power for its utilization for daily activities and the change of the special nursing homes after the evaluation.
본 연구는 일본의 특별양호노인홈을 대상으로 복지서비스제삼자평 가(이하 제삼자평가)를 도입하여 활용하고 있는 실태를 파악하고, 제 삼자평가에 대한 시설 측의 평가를 통하여 제삼자평가의 과제를 분석 하여 효율적인 제삼자평가의 활용 방안을 제안하는 것을 목적으로 하 였다. 또한 평가와 서비스의 질에 관한 선행연구를 분석하여 복지서비 스에 대한 평가제도 도입에서 발생할 수 있는 과제에 대해 논의하였다. 2008년 노인장기요양보험 실시 후 서비스에 대한 평가와 서비스 질 관 리 방안에 대한 본격적인 논의가 시작된 한국에 적지 않은 시사점을 줄 것이라 판단된다. 일본 이와테현에 위치한 특별양호노인홈 4개소의 직 원 120명을 대상으로 설문지조사를 실시하였다. 표집된 자료는 신뢰도, 빈도, 평균 표준편차, 회귀분석Regression을 실시하였다. 본 연구의 결과는 첫째, 제삼자평가에 대한 직원의 만족도는 평균 3.45점으로 전체적으로 만족도가 비교적 낮은 것으로 나타났다. 또한 제삼자평가에 대한 이해 와 평가 참여도가 높은 관리직에 비해 평가에 대한 참여가 낮은 개호 복지사에게서 제삼자평가에 대한 이해와 자기평가의 진행방식에 대해 낮은 만족도가 나타났다. 둘째, 평가에 대한 이해도가 일상 업무 활용 과 평가 이후 시설의 변화에 미치는 영향력은 22%의 설명력을 갖는 것 으로 나타났다.
I. Introduction 1. The Background and Necessity of the Study II. Literature Review 1. Monitoring the Quality of Services 2. The Third Party Evaluation of Welfare Service in Japan III. Study Design １. Research Questions ２. Survey Method ３. Analysis Method IV. Results of Study １．The Characteristics of the Subjects of the Study 2. The Process Analysis of the Third Party Evaluation 3. The Satisfaction of the Third Party Evaluation 4. The Influence of the Degree of Understanding the Third Party Evaluation over the Utilization for the Daily Services and the Change of Facilities 5. The Influence of the Satisfaction of On-site Evaluators over the Satisfaction of On-site Evaluation V. Conclusions and Suggestions Reference
